FORM 16A

(Public Service Commission, Gambia)

Form to be filled in by the applicant and sent to the Secretary, Public Service Commission, The Quadrangle, Banjul. Failure to comply with the written instructions on the form may seriously delay the consideration of the application.

Title:

First Name:

Surname:

Date of Birth:
--

Gender:

Place of Birth:

Contact Address:

Telephone No:

Appointment desired:

Academic/professional qualifications:
Give details of all academic or professional qualifications relevant to your application, including any qualifications for which you are studying or awaiting the results. State title and level of course or other qualification, the school or institution by which it was awarded and the date of the award.

Examination or Qualification	Subject	Grade or Level	School or institution	Start/End date	Date awarded
				-- --	--
				-- --	--
				-- --	--
				-- --	--

Note: Copies of certificates awarded for the above qualifications, full transcripts and testimonials must be provided with this application.

Work Experience :
Employment or occupation up to the present. Set out in chronological order each position held and the name of the employer also dates and reasons for relinquishing employment.

Employment or Occupation	Employer	Reason for leaving	Start/End date
			-- --
			-- --
			-- --
			-- --

Have you ever been in Government Service?

Yes No

If yes, state your Payroll number:

Do you have any additional skills?

Yes No

Comment:

Have you sat for the Civil Service Entrance Examination?

Yes No

Comment:

Referees:
Give the names, positions and addresses of the two persons who have provided sealed references in support of your application who have knowledge of your ability to undertake the proposed study.

1. Name		2. Name
1. Position		2. Position
1. Address		2. Address
1. Fax No.		2. Fax No.
1. Email		2. Email